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Search › Mississippi › 224P00000X

Richard Boleware, CP

NPI 1194909069 · on the registry since 2007

Practice

Address
2 Old River Pl Ste D
Jackson, MS 39202
Phone
(601) 944-1130
Fax
(601) 355-7476
Organisation at this address
Medfusion, Llc
Buckner Prosthetic And Orthotic Laboratories Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
224P00000X
224P00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi